Case 25-1982

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Abstract
Presentation of CaseA 15-year-old girl was admitted to the hospital because of virilization.The patient was black, a native of Jamaica, and a recent immigrant to this country. Her menarche occurred at the age of 11 years, with regular menses every 30 days, accompanied by abdominal cramps and breast tenderness. During the two years before admission the menses became irregular, and they ceased 18 months before admission, with only infrequent spotting thereafter. A physician noticed that her voice was deep; the clitoris was enlarged, and watery secretion could be expressed from one breast. Four months before entry acne of . . .
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